Regional Anatomy I midterm

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Created by:

dourada  on May 10, 2011

Subjects:

anatomy, lccw

Classes:

LCCW, Freshman quarter 3

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Regional Anatomy I midterm

components of a lever system
lever arm
fulcrum(F)
force (P)
resistance (R)
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Terms

Definitions

components of a lever system lever arm
fulcrum(F)
force (P)
resistance (R)
Class I lever system fulcrum b/w resistance and force
P-down, R up
class II lever system fulcrum then resistance than force
p-up
class III lever system fulcrum then force then resistence
P-up
line of action and lever arm in a muscle contraction line of action decreases
lever arm increases
parallel muscles -strap and fusiform
-fibers run parallel to each other
-long muscles which cause large movements, are not very strong but have good endurance ie sartorius or SCM
pennate muscles* Unipennate: fibres arranged to insert in a diagonal direction onto the tendon, which allows great strength. ie Lumbricales and Extensor Digitorum
* Bipennate: two rows of muscle fibres, facing in opposite diagonal directions,with a central tendon, like a feather. This allows even greater power but less range of motion. i.e. Rectus Femoris
* Multipennate: multiple rows of diagonal fibres, with a central tendon which branches into two or more tendons. ie. the Deltoid three sections, anterior, posterior and middle.
isotonic force exerted produces motion
isometric force exerted without motion
a muscle must cross a joint for movement to occur
during contraction force exerted by a muscle at all of its attachments is _____ even
movement of a joint is determined by the _____ of all the activity of all muscles whose ______ cross the axis of rotation sum, line of action
stablized bone____
bone that moves_____
generally--
origin
insertion
the _____of a muscle is a function of its _________area and the ______of its _____arm force, cross sectional, length, lever
extremities appear as ventrolateral folds of the body wall
upper limb bud appears what day and where day 24
at lower cervical segments
lower limb bud appears what day and where day 26
at lumbar and upper sacral segments
what exerts inductive influence apical ectodermal ridge
hand and foot plates form by what week week 6
fingers formed by what day day 54
toes formed by what day day 56
what aggregates to form a large muscle mass around bone myoblasts
dorsal muscle mass separates into extensor mass
ventral muscle mass separates into flexor mass
upper limb rotation rotate laterally and caudal
lower limb rotation rotate medially and caudal
vasculature of upper extremity ascending aorta, aortic arch, brachiocephalic A/V, R subclavian A/V, axillary A/V, brachial A/V, radial/ulnar A/V, palmar arches, cephalic/basilic V, medial cubital V, median antebrachial V
dorsal venous network
CN XI and C2-4 Upper Trap, SCM
thoracodorsal N (C6-8) Lat Dorsi,
Teres Major (also lower scapular N)
dorsal scapular N (C4-5) rhomboid major and minor
levator scapula
suprascapular N (C5-6) supraspinatus
infraspinatus
subscapular N (C5-6) subscapularis
Pectoral N (C5-T1)
(medial and lateral)
Pec major clavicular, sternal, abdominal, and minor
subclavius N (C5-6) suclavius
long thoracic N (C5-7) serratus anticus
musculocutaneous N(C5-7) corachobrachialis
brachialis
biceps brachii
median N (C5-T1) pronator teres, FCR, PL, FDS, FDP, Abd PB, FPB, OP, FPL, pronator quatratus, lumbricales
ulnar N (C8-T1) FCU, FDP, Add P, ODM, FDM, Abd DM, PB, dorsal and palmar interossei
radial N (C5-T1) Triceps, anconeus, brachialis, brachioradialis, ECR-L, ECR-B, ED, EDM, ECU, supinator, Abd PL, EPB, EPL, EI
axillary N (C5-6) deltoids
Teres minor
subclavian A branches internal thoracic
vertebral
costocervical trunk
thyrocervical trunk
axillary A branches subscapular
superior thoracic
thoracoacromial
lateral thoracic
circumflex scapular
circumflex
thoracoacromial A branches acromial
clavicular
deltoid
pectoral
circumflex A branches anterior and posterior humoral
brachial A branches superficial
deep: deltoid and radial collateral
superior ulnar collateral
inferior ulnar collateral
tributaries of subclavian V pectoral
dorsal scapular
thoracoacromial
tributaries of axillary V lateral thoracic
thoracoepigastric
areolar
shoulder adduction teres major
corachobrachialis
lat dorsi
PMS/A
Anterior deltoid
shoulder aBduction supraspinatus
middle deltoid
posterior deltoid
flexion (shoulder) anterior deltoid
corachobrachialis
PMC
biceps brachii
extension (shoulder) lat dorsi
post delt
infraspinatus
teres major and minor
medial rotation (shoulder) teres major
ant delt
lat dorsi
subscapularis
PMS/A
lateral rotation (shoulder) teres minor
post delt
infraspinatus
scapula retraction mid trap
rhomboid major and minor
protraction scapula pec minor
serratus anterior
upward/superior rotation scapula lower and upper trap, serratus anterior
downward rotation scapula rhomboid major and minor
levator scap
pec minor
elevation scapula upper tap
levator scap
depression scapula lower trap
pec minor
elevation of ribs pec minor
scapula stabilization serratus anterior
clavicle medially and stabilization subclavius
limb segments girdle-upper-lower-transition-terminal
shoulder-humerus-ulna/radius-wrist-fingers/hand
hips-femur-tibia/fibula-ankle-foot
triangular space boundaries superior: teres minor
inferior: teres major
lateral: long head of the triceps
triangular space contents circumflex scapular A
Quadrangular space boundaries sup: teres minor and subscapularis
inf: teres major
med: longhead of triceps
lat: humerus
quad space contents axillary N
posterior humeral circumflex A
triangular interval boundaries sup: teres major
med: long head of triceps
lat: medial head of triceps
triangle of ausculatation boundaries inf: sup fibers of lat dorsi
med: trap
lat: medial border of scapula
floor: rhomboid major
site of most clearly heard breathing sounds
deltopectoral triangle deltopectoral groove: delt, pec maj, and cephalic v
triangle: cephalic and basilic join axillary to form subclavian
axillary boundaries med: upper ribs and serratus ant
lat: humerus
post: sub scap, teres maj, lat dorsi,
ant: pec maj/min
base: axillary fascia
apex: space b/w clavicle, scapula and 1st rib
axillary contents axillary A/V
branches of brachial plexus,
long and short head of biceps brachii
corachobrachalis
sternoclavicular joint -complex
-manubrium and med end of clavicle
-articular disc-relieves stress and incongruity
-gliding, elev/depr, protr/retr (?circumd)
SC jt ligaments -sternoclavicular (ant and post)-prevents dislocation
-interclavicular
-costoclavicular
SC ligament fx SC lig strongest -post, weakest -ant
inter- strengthens superiorly
cc lig-anchors to 1st rib
-rarely dislocates- clavicle will break 1st
acromioclavicular jt lat clavicle and acromion
-incomplete cartilage- simple jt
-synovial
-gliding
-protraction/retraction
-in conjunction with SC
AC jt ligaments acromioclavicular
coracoclavicular- conoid and trapezoid
AC jt lig fx AC-strength superior
CC- main jt strength
-freq dislocates- CC will tear
glenohumeral joint head of humerus with glenoid cavity
-deepened by labrum(fibrocartilagenous)
-synovial, ball and socket, simple
-disarthrosis
-flex/ext, abd/add, lat/ed rot, circumduction
GH jt ligaments general articular ligaments (capsule is loose- reinforced by ligs)
GH ligaments (glenoid to labrum)
coracohumeral ligament supports weight of upper extemity
-corocoid to greater tuberosity
transverse ligament restrains bicipital tendon
-greater tuberosity to lesser tuberosity
coracoacromial lig -prevents superior displacement
-transmits tensile forces from mm on corocoid to acromion and spine of scap
-forms ca arch
"rotator cuff" musculotendinous
-supraspinatus, subscapularis, infraspinatus, teres minor
-keeps head pressed into fossa
3 major bursae subacromial
subdeltoid
subscapularis
subacromial bursa -b/w acromion and coracoacromial lig and supraspinatus
-comm w subdelt
subdeltoid bursa -b/w delt and coracoacromial arch and tendon of supraspin
subscapularis bursa -b/w tendon of subscap and neck of scap
-comm w/ synovial cavity
superior to GH -tendon of LH biceps B
-tendon of supraspin
-subacromial bursa
-acromion
-mid fibers of delt
anterior to GH -opening of subscap bursa
-subscapularis
-corachobrachialis and SH of biceps B
-ant fibers of delt and pec maj
inferior to GH LH of triceps
posterior to GH -infraspinatus
-teres minor
-post fibers of delt
most common GH dislocation anterior (subcorocoid)
-may injure axillary N
3 jts of elbow humeroradial
humeroulnar
proximal radioulnar
-synovial and compound
humeroulnar -hinge
-medial/ulnar collateral ligament
humeroradial -moves w/ above
-lateral/radial collateral ligament
(not really a joint-not really in contact- along for the ride with ulna)
prox radioulnar -pivot
-annular ligament
elbow movement -flex/ext
-pronation/supination
elbow carrying angle males-5 degrees
females-10-15 degrees
abnormal angles cubital valgus more than 5-15 degrees
cubitus varus (gunstock) - decreased angle

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